N4713UBOEING 747-122 1989-02-24 NTSB Accident Report

Substantial
Fatal

BOEING 747-122 S/N: N4713U

Summary

On February 24, 1989, a Boeing 747-122 (N4713U) was involved in an accident near Honolulu, HI. The accident resulted in 9 fatal injuries, 5 serious injuries, 33 minor injuries, with 309 people uninjured out of 356 aboard. The aircraft sustained substantial damage.

The National Transportation Safety Board determined the probable cause of this accident to be: THE SUDDEN OPENING OF THE IMPROPERLY LATCHED FORWARD LOBE CARGO DOOR IN FLIGHT AND THE SUBSEQUENT EXPLOSIVE DECOMPRESSION. CONTRIBUTING TO THE ACCIDENT WAS A DEFICIENCY IN THE DESIGN OF THE CARGO DOOR LOCKING MECHANISMS, WHICH MADE THEM SUSCEPTIBLE TO INSERVICE DAMAGE, AND WHICH ALOWED THE DOOR TO BE UNATCHED, YET TO SHOW A PROPERLY LATCHED AND LOCKED POSITION. ALSO CONTRIBUTING TO THE ACCIDENT WAS THE LACK OF PROPER MAINTENANCE AND INSPECTION OF THE CARGO DOOR BY UNITED AIRLINES, AND A LACK OF TIMELY CORRECTIVE ACTIONS BY BOEING AND THE FAA FOLLOWING A PREVIOUS DOOR OPENING INCIDENT.

This accident is documented in NTSB report DCA89MA027. AviatorDB cross-references NTSB investigation data with FAA registry records to provide comprehensive safety information for aircraft N4713U.

Accident Details

Date
Friday, February 24, 1989
NTSB Number
DCA89MA027
Location
HONOLULU, HI
Event ID
20001213X27705
Coordinates
21.270326, -157.819931
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
9
Serious Injuries
5
Minor Injuries
33
Uninjured
309
Total Aboard
356

Probable Cause and Findings

THE SUDDEN OPENING OF THE IMPROPERLY LATCHED FORWARD LOBE CARGO DOOR IN FLIGHT AND THE SUBSEQUENT EXPLOSIVE DECOMPRESSION. CONTRIBUTING TO THE ACCIDENT WAS A DEFICIENCY IN THE DESIGN OF THE CARGO DOOR LOCKING MECHANISMS, WHICH MADE THEM SUSCEPTIBLE TO INSERVICE DAMAGE, AND WHICH ALOWED THE DOOR TO BE UNATCHED, YET TO SHOW A PROPERLY LATCHED AND LOCKED POSITION. ALSO CONTRIBUTING TO THE ACCIDENT WAS THE LACK OF PROPER MAINTENANCE AND INSPECTION OF THE CARGO DOOR BY UNITED AIRLINES, AND A LACK OF TIMELY CORRECTIVE ACTIONS BY BOEING AND THE FAA FOLLOWING A PREVIOUS DOOR OPENING INCIDENT.

Aircraft Information

Registration
Make
BOEING
Serial Number
N4713U
Model / ICAO
747-122

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# DCA89MA027